Individual provider Active NPI

Faris J. Fakhoury, MD

  • Neurological Surgery Physician
  • Wellington, FL
National Provider Identifier
1730352535
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME 106083 Issued in FL
Practice address
10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414
Phone
(561) 791-3070
Fax
(561) 791-3080
NPI assigned
Apr 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME 106083 FL Primary

Addresses

Primary practice location

10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414

Mailing address

10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414
Phone (561) 791-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100625000710 FL Practitioner - Neurosurgery 2961533575 Reassigns benefits to 1 organization
O20240216000984 FL DME Supplier - Physician - Neurosurgery 6406004084 Practice locations: Wellington, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 791-3070

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion57
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 106083FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faris J. Fakhoury, MD, PA Neurological Surgery CurrentSince Sep 10, 2012 Accepting new patients

Locations

10115 Forest Hill Blvd
Ste 405
West Palm Beach, FL 33414
Phone (561) 791-3070

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

Interoperability endpoints

  • Direct secure messaging: ffakhoury19747@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFJBA/Endpoint/IDFJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFJBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1730352535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 W. FOREST HILL BLVD.",
            "address_2": "SUITE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-791-3070",
            "fax_number": "561-791-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 W. FOREST HILL BLVD.",
            "address_2": "SUITE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-791-3070",
            "fax_number": "561-791-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "FARIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME 106083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.